Patient Experience Survey Step 1 of 5 - General Details 0% Thank you for your participation in this survey. Your anonymous feedback is greatly valued and may improve patient safety and care.Date of Surgery* DD MM YYYY Your Anaesthetist*Please select your anaesthetistDr. Kwok Fui HorDr. Anthony BrooksDr. Richard ClarkeDr. Vicki CohenDr. Michael D'SouzaDr. Anna HaywardDr. Rebecca KellyDr. Fiona McManusDr. Paul SwanDr. Ken TheanDr. Andrew TonerDr. Hugh WelchDr. Moira WestmoreGenderMaleFemaleAge*16-2425-3435-4445-5455-6465-7475 or older Did you have pain before surgery?*NoYes, but it was managed by another health professionalYes, my anaesthetist was involved in the pain managementHow well do you think we managed your pain?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Did you feel like you had time to ask your anaesthetist questions before your surgery?*YesNoHow well were those questions answered?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345 Did you understand the information about your anaesthetic that was given to you before your surgery?*YesNoHow useful did you find the information?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Did you feel like your anaesthetist listened to you?*YesNoDid you feel rushed?*YesNoDid you feel scared or anxious before your surgery?*YesNoHow well did your anesthetist manage your fear and anxiety?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Did your anesthetist explain to you how you might feel after the surgery?*YesNo Did you feel nauseated and/or vomit immediately after the surgery?*YesNoHow well was your nausea/vomiting treated?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Were you in pain after the operation?*YesNoHow effective was your pain treatment?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345Were you cold or shivering after the surgery?*YesNoHow well was it managed?*Using a scale of 1 to 5: Poor 1---2---3---4---5 Excellent12345 If you had a positive experience, please tell us about it.If you had a negative experience, please tell us about it.Do you have any suggestions about how your care could have been improved?NameThis field is for validation purposes and should be left unchanged.